Beard Nahum M
Faculty Campbell Clinic Sports Medicine Fellowship, Department of Orthopaedic Surgery and Rehabilitation, Department of Family Medicine, University of Tennessee Health Science Center, 1400 South Germantown Road, Germantown, TN 38138, USA.
Phys Med Rehabil Clin N Am. 2021 Nov;32(4):803-818. doi: 10.1016/j.pmr.2021.05.014. Epub 2021 Jul 29.
Ablation therapies in the foot and ankle are accessible adjuncts to surgery and comprehensive pain management in recalcitrant pain syndromes. Techniques are best applied to individual patient anatomy with strong advantages in a working knowledge of neuromuscular real-time imaging with ultrasound. Interventionists face the unique challenge in this region of preserving balance and proprioception as well as intrinsic muscle function, while optimizing pain relief. A decision-making approach emphasizing selectivity by using regional and target-specific ablations is optimal. This article reviews basic technique, approaches, potential complications, and ultrasound anatomy for a practical introduction to ablation options in the foot and ankle.
足部和踝关节的消融治疗是顽固性疼痛综合征手术和综合疼痛管理的有效辅助手段。这些技术最好根据个体患者的解剖结构来应用，在具备超声神经肌肉实时成像的实用知识方面具有显著优势。在该区域，介入医生面临着独特的挑战，即要在优化疼痛缓解的同时，保持平衡、本体感觉以及内在肌肉功能。采用强调通过区域和靶点特异性消融实现选择性的决策方法是最佳选择。本文回顾了基本技术、方法、潜在并发症以及超声解剖，以便对足部和踝关节的消融选择进行实际介绍。
